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Office Procedure Meds

Lori Posted Fri 29th of May, 2015 13:16:46 PM

When a patient is given Fentanyl, Versed or Ancef during an office procedure (facet joint injections or Radiofrequency ablation) Can those meds be billed or are they considered inclusive? What about in an hospital setting?

SuperCoder Answered Mon 01st of June, 2015 02:23:47 AM

When a physician administers pain- management drugs in the office or if drugs are administered in a hospital or outpatient facility, the physician can also bill for related procedures, such as injections. Other than the cost of the drugs themselves, drugs that are self-administered are not covered by Medicare; however, drugs that are administered in the physicians office via injection or infusion pump have a variety of reimbursement codes associated with them, according to Lamar.

Please find below the link for better understanding:

https://www.supercoder.com/coding-newsletters/my-oncology-hematology-coding-alert/be-rightfully-reimbursed-for-pain-management-article

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